Peritoneal Dialysis Doctors

Amazing event for NKFF!

The NKF Rich Salick Pro-Am Surf Festival is the largest non-profit surfing event in the WORLD! 🌎 come watch pro surfers or compete yourself! 🏄‍♀️ Join us October 12 to 14 at the famous Cocoa Beach Pier! 🌞For more information https://www.facebook.com/NKFsurf2?mibextid=LQQJ4d

National reporting of .

FREE National reporting of peritonitis in individuals receiving PD is needed. Establishing a formal surveillance system for PD peritonitis reporting in the US is important; rates of PD peritonitis are at least 4 times greater than rates of HD vascular access catheter-related infections, associated with adverse outcomes, and the US government has stated strong interest in increasing PD utilization. In this pilot study, Muthana Al Sahlawi et al demonstrated the feasibility of a national uniform web-based peritonitis reporting system across a diverse cohort of PD facilities in the US. Their findings are consistent with overall peritonitis rates we have previously reported for 24 US sites in the Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS).

It was encouraging that 93% of episodes reported as peritonitis met the ISPD diagnostic criteria. Out of the 32 episodes that did not meet ISPD diagnostic criteria, 75% were diagnosed based on abdominal pain and/or cloudy effluent alone. These features can be nonspecific for peritonitis and can be the result of various non-infectious causes, resulting in unnecessary antibiotic treatment in the face of a normal effluent cell count and negative cultures. Most facilities (82.5%) in this study indicated having no access to the PD effluent cell count results before treatment initiation, with an average turnaround time of more than 24 hours in 44% of facilities, which may explain continuation of treatment in the face of an initially normal cell count.

https://bit.ly/3QNrbik

New drug for ADPKD given orphan drug status by FDA.

FDA grants PXL770 orphan drug designation for autosomal-dominant polycystic kidney disease The FDA has granted orphan drug designation to PXL770, a first-in-class direct adenosine monophosphate-activated protein kinase activator designed by Poxel to treat autosomal-dominant polycystic kidney disease, according to a press release.According to the release, this designation follows the compl...

Burnout among Nephrologists in the United States
In a study of 457 US nephrologists surveyed in 2019, 106 (23.2%) reported burnout; the
most commonly reported primary drivers of burnout were number of hours worked and
electronic health record requirements. Caring for $25 vs. 26-75 patients per week,
practicing in academic vs. non-academic settings, and spending time with other
responsibilities vs. patient care were each independently associated with nearly 70% lower
odds of burnout after adjusting for age, gender, race, and international medical graduate
status. Free-text responses also emphasized disinterested health care systems and
dissatisfaction with remuneration as drivers of burnout. The findings are published in Kidney
Medicine.

Singer Adele appeared in a fashion shoot in American Vogue magazine, highlighting her 100 pound weight loss, achieved over 2 full years. She has been stunned by the backlash, especially from women, who harshly criticized her new look, commenting they preferred her the “old way”. Crediting a low sugar unprocessed foods diet, and commitment to an exercise regimen, Adele has commented at age 33 and a single mother, she felt the need to be at her optimal health in order to single-handedly raise her son. Adele told Vogue, “I understand why some women especially were hurt. Visually I represented a lot of women. But I’m still the same person. She added, “I thought, If I can make my body physically strong, and I can feel that and see that, then maybe one day I can make my emotions and my mind physically strong.” Adele made positive decisions for her health, she should be applauded, and not criticized. Few physicians are brave enough to say it, but obesity is not only bankrupting Americans’ health… it’s bankrupting our country. And patients need to hear this.

Treating Antibody-Mediated Rejection in Transplant Recipients.

Treating Antibody-Mediated Rejection in Kidney Transplant Recipients - Docwire News The optimal regimen for the treatment of acute and chronic antibody-mediated rejection (AMR) in kidney transplant recipients is unclear. A. Al Jurdi and

Your thyroid gland makes T4 (inactive thyroid hormone) and a tiny bit of T3(active thyroid hormone). However, most conversion of T4 to T3 occurs outside of the thyroid gland, particularly in the liver. Impaired liver function, such as the rapidly growing diagnosis of non alcoholic fatty liver disease, may negatively affect this conversion even if liver enzymes appear to be within normal limits. And no amount of Levothyroxine can correct this. You must first cure the fatty liver by adopting a whole food, low sugar, low carbohydrate diet. Without healing your liver, weight loss efforts will be very unlikely to be a successful. Did your endocrinologist tell you that? (Not likely) If you carry weight in your abdomen, it is likely you have fatty liver. Fatty liver often occurs without elevation of liver enzymes. Ask your P*P to screen you for fatty liver or refer you to a liver specialist.

Donor vs Recipient Size Mismatch and Graft Function. https://link.springer.com/article/10.1007/s40620-021-01050-w

The implications of donor-recipient size mismatch in renal transplantation Introduction Transplanting kidneys small for recipient’s size results in inferior graft function. Body surface area (BSA) is related to kidney size. We used the BSA index (BSAi) (Donor BSA/Recipient BSA) to assess whether the renal graft size is sufficient for the recipient. Methods We included 26...

Minimal Change Disease following Moderna Vaccine.

Minimal Change Disease following the Moderna mRNA-1273 SARS-CoV-2 Vaccine The immunologic response following several varieties of vaccination has been described as a potential trigger for the development of both de novo as well as recurrent minimal change (MCD) disease (1). There have been emerging cases, including that described by Kervella et al. of MCD shortly after va...

The Role of the Gut in .https://kidney360.asnjournals.org/content/kidney360/early/2021/03/05/KID.0006912020.full.pdf

kidney360.asnjournals.org

Assessing patients' health may indicate their risk of cardiovascular disease. https://www.eurekalert.org/pub_releases/2021-03/ason-apk022621.php

Assessing patients' kidney health may help predict their risk of cardiovascular disease * Adding measures of kidney function to traditional measures of cardiovascular health could help clinicians predict an individual's risk of developing cardiovascular disease.

Proteinuria may predict acute kidney injury, and a more serious course of Covid.

Proteinuria may predict AKI, ICU admission and mortality in patients with COVID-19 Measuring proteinuria within 48 hours of hospital admission for COVID-19 may help predict adverse outcomes, as the condition occurred frequently and was strongly associated with AKI, ICU admission and mortality. “The prognostic value of kidney function impairment during COVID-19 has already be...

Procedural prophylaxis in Peritoneal Dialysis. https://www.karger.com/Article/FullText/513773

Promoting Home Therapies in . https://journals.sagepub.com/doi/full/10.1177/2054358121993250

Quantifying Missed Opportunities for Recruitment to Home Dialysis Therapies - Krishna Poinen, Lee Er, Michael A. Copland, Rajinder S. Singh, Mark Canney, 2021 Background: Despite the recognized benefits of home therapies for patients and the health care system, most individuals with kidney failure in Canada continue t...

-19’s effect on programs. https://www.healio.com/news/nephrology/20210125/survey-shows-covid19-impact-on-transplant-programs-and-surgeons-including-salary-cuts

Survey shows COVID-19 impact on transplant programs and surgeons, including salary cuts A survey administered to members of the American Society of Transplant Surgeons provides insight into how COVID-19 has affected transplant programs across the United States and how these impacts relate to surgeons and staff. “The survey ran from November to December 2020,” Jason R. Welle...